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Jacqueline Green
Peer Specialist in Salem, Oregon
NPI 1659732642

Jacqueline Green is a Peer Specialist based in Salem, OR. Jacqueline Green practices in Salem, OR. The NPI Number for Jacqueline Green is 1659732642 and holds a License No. (Oregon).

The current practice location address for Jacqueline Green is 1599 State St, Salem, OR and can be reached out via phone at 503-363-3260 and via fax at 503-585-0491.

Location: 1599 State St, Salem, OR, 97301-4255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659732642
Provider Name
Jacqueline Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1599 State St, Salem, OR, 97301-4255
Phone Number
503-363-3260
Fax Number
503-585-0491
Provider Enumeration Date
03/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1599 State St
City
Salem
State
Oregon
Zip
97301-4255
Phone Number
503-363-3260
Fax Number
503-585-0491
person
Provider Business Mailing Address Details
Address
1599 State St
City
Salem
State
Oregon
Zip
97301-4255
Phone Number
503-363-3260
Fax Number
503-585-0491
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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